What is the French term for ankle

Ligament strain, ligament stretching, ligament rupture of the upper ankle joint (OSG)

Competence center for orthopedics informs: ligament strain, ligament stretching, torn ligament of the upper ankle joint (OSG)

Definition of strained ligaments, ligament stretching, torn ligament of the upper ankle joint (ankle)

Orthopedic specialists are among the most common injuries to the ankle:

  • Ligament strain, ligament stretch
  • Upper ankle ligament tear (ankle joint)

About every fourth injury in sports that is diagnosed by an orthopedic specialist affects the ankle. It is the connection between the foot and the lower leg.

Especially in ball sports, but also in tennis, squash, jogging on natural terrain and in athletics, athletes twist their feet, stretch or pull a ligament or tear a ligament on the upper ankle.

The ligament strain or stretching is a preliminary stage of the ligament rupture at the upper ankle joint (ankle). It is very painful, but the tissue is only slightly damaged. The joint remains stable. A bruise (hematoma) does not occur. Typical signs are:

  • Pain when moving
  • Loss of strength
  • Slight swelling at the affected joint

A ligament strain or stretched ligament is determined by the orthopedic surgeon mainly on the ankles, but also on the knee and finger joints. Those affected mostly got their feet stuck, tilted or twisted the joint.

Orthopedic surgeons prescribe a break from (sports) until the pain has subsided and the swelling has subsided.

In the case of a ligament rupture at the upper ankle joint, the tight connective tissue tears when a particularly strong force acts on the ligament. A kick while playing soccer, a wrong landing during a long jump or an twisting of the foot can lead to this. There are three ligaments on the upper ankle joint (ankle). If one of them tears, the ankle is no longer adequately stabilized. Most often, the orthopedic surgeon will notice a tear in the anterior outer ligament.

If all three outer ligaments are torn, competitive sport may only be practiced again after six months. In the opinion of the orthopedic surgeon, too early stress can lead to a renewed torn ligament in the upper ankle joint (ankle joint).

Synonyms and related terms

Synonyms: lateral ligament rupture, ligament rupture, sprained ankle, torn ligament
English: pulled ligament, stretched ligament, ligament rupture

Overview of strained ligaments, ligament stretching, torn ligament of the upper ankle joint (ankle)

The individual bones and muscles of the human foot are held together and stabilized by various ligaments. The ankle is important for mobility. Orthopedists differentiate between:

  • upper ankle joint (ankle joint)
  • lower ankle joint (USG)

The upper ankle joint (ankle joint) consists of the ankle joint fork and the ankle bone. It is surrounded by a thin capsule and allows us to bend and straighten the foot. The lower ankle joint (USG) is made up of the ankle bone, heel bone and the first row of tarsal roots. This allows us to move the foot sideways, raise and lower it.

The foot carries our entire body weight and has to withstand heavy loads. During sport and with everyday things in everyday life, we can twist our ankle, twist our foot or slip off. This can result in ligament strain, ligament stretching or a torn ligament of the upper ankle joint (ankle joint).

Causes of the ligament strain, ligament stretch, the upper ankle ligament rupture (ankle)

Fast and unnatural movement often leads to ligament strain, ligament stretching or a torn ligament at the upper ankle joint (ankle). An accident while playing sports is usually the cause. But even in everyday life we ​​can bend our feet inwards or outwards. Sometimes a slippery ground, a small root in the forest or a threshold on the door is enough to cause an injury to the ankle, popularly known as an ankle.

A strain, strain, and ligament tear are some of the most common injuries diagnosed and treated by orthopedic specialists.

What you can do yourself with a ligament strain, ligament stretching or a torn ligament of the upper ankle joint (ankle joint)

After an injury to the ligaments or the upper ankle joint (ankle), it is important to take care of the joint. Orthopedic specialists recommend taking the following measures:

  • P = take a break
  • E = put ice on the affected area and use it to cool - but not directly on the skin to avoid frostbite
  • C = Compression, i.e. put on an elastic pressure bandage
  • H = elevation

As a so-called PECH rule, the acute measures are easy to remember. The cooling not only relieves the pain, but also counteracts swelling. Orthopedic surgeons advise against placing ice cubes directly on the skin, instead wrapping them in a cloth and then using them to cool. Otherwise there could be frostbite.

Help from the specialist

Depending on the specificity of the symptoms, further detailed diagnostics can be carried out by various specialists based on a discussion with your doctor. These include:

What to expect from your orthopedic doctor?

Before your orthopedic doctor begins an examination, there will be an introductory discussion (anamnesis) about your current symptoms. As part of this, he will also ask you about previous complaints and any existing illnesses.

You can expect the following questions:

  • How long have the symptoms existed?
  • Can you carry out a precise characterization and, if necessary, localization?
  • Have there been any changes in the course of the symptoms?
  • Do you suffer from additional symptoms such as shortness of breath, chest pain, dizziness?
  • Have you ever suffered from it and have these symptoms occurred in a family way?
  • Do you currently have pre-existing or hereditary diseases and are these treated?
  • Are you currently taking any medication?
  • Are you aware of any allergies?
  • Do you suffer from stressful situations in everyday life?

What medications do you take regularly?

Your orthopedic specialist needs an overview of the medicines that you take regularly. Before you go to the doctor, make an overview of the medication you are taking in a table. You can find a template for the overview here.

Examinations (diagnostics) by the orthopedic surgeon

Based on the symptom characteristics recorded in the previous anamnesis and the current state of health, the orthopedic specialist can now apply the following diagnostics:

  • Physical examination
  • X-ray examination
  • Ultrasound examination (sonography)
  • Magnetic resonance imaging
  • Magnetic resonance imaging (MRI)

The exact diagnosis by the orthopedic surgeon is very important. He can determine whether the joint capsule, articular cartilage or bones have also been damaged in addition to the ligaments.

Treatments (therapy)

The treatment (therapy) of the specialist in orthopedics depends on whether it is a ligament strain, ligament stretch or a torn ligament in the upper ankle joint (OSG).

If the ligaments are slightly overstretched or pulled, the orthopedic surgeon stabilizes the affected joint for one to two weeks with an elastic bandage. In addition, the healing process can be supported with ointments and physical protection.

If, on the other hand, there is a torn ligament in the upper ankle joint (ankle joint), the orthopedic specialist must treat the injury more intensively so that there is no premature joint wear (osteoarthritis).

The orthopedic surgeon stabilizes the joint with a special splint (Aircast splint). The splint must be worn until the end of the healing process. Usually this takes about six weeks. By immobilizing the joint, the outer ligament can grow back together easily on its own.

In the first few days after the injury, it is important to relieve the upper ankle joint (ankle joint) and keep it high. To reduce the swelling, the orthopedic surgeon prescribes cooling ointments. An operation will only be carried out by an orthopedic specialist if the capsule and ligament apparatus is so damaged that a reconstruction has to be carried out.

If the healing is already advanced, gentle loads are started. The orthopedic surgeon often prescribes physiotherapy.

Prevention (prophylaxis, prevention)

In order to minimize the risk of straining, stretching or tearing ligaments in the upper ankle while exercising, orthopedic specialists advise you to observe the following:

  • Warm up well
  • Wear suitable sports shoes
  • Protect joints that are particularly at risk with a bandage or tape bandage

forecast

A ligament strain, ligament stretch or a torn ligament in the upper ankle joint (ankle) usually heals well. Surgical intervention by the orthopedic surgeon is only necessary in rare cases.

© CHHG